{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T07:08:54Z","timestamp":1784704134058,"version":"3.55.0"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare dentoskeletal, nasal septal, and upper airway changes following rapid maxillary expansion (RME) using Hyrax and fan-type expanders in growing patients with cleft lip and palate (CLP) using cone-beam computed tomography (CBCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective comparative clinical study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>University-based tertiary care dental institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>Twenty patients aged 9 to 15 years with repaired unilateral or bilateral CLP and transverse maxillary deficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\n                      Participants were treated with bonded Hyrax (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200910) or fan-type expanders (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200910) according to maxillary constriction pattern. CBCT scans were obtained before expansion (T0) and after a 3-month retention period (T1).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>\n                      Anteroposterior, vertical, and transverse dentoskeletal parameters, nasal septum deviation, and oropharyngeal airway volume were evaluated. Intragroup comparisons used the Wilcoxon signed-rank test; intergroup comparisons used the Mann-Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      test (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both appliances achieved significant transverse expansion. The fan-type expander showed greater anterior basal widening, whereas the Hyrax demonstrated greater posterior expansion and nasal cavity width increase. Airway volume increased but was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both expanders effectively correct transverse maxillary deficiency in CLP patients. Appliance selection should be based on constriction pattern. Airway effects appear limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656261446603","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T13:53:37Z","timestamp":1782827617000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of Dentoskeletal and Airway Changes Using Hyrax and Fan-Type Expanders in Cleft Patients: An In Vivo CBCT Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1553-6219","authenticated-orcid":false,"given":"Singavarapu Hepsi","family":"Haritha","sequence":"first","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinaoutpalli, Gannavaram, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanuru Ravi","family":"Krishna","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinaoutpalli, Gannavaram, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Harsha","family":"Yelchuru","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Drs. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinaoutpalli, Gannavaram, Andhra Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dodda Kiran","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthodontics and Dentofacial Orthopaedics, Drs. 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